CENTRACARE HEALTH SYSTEM

General Acute Care Hospital — Critical Access

Code: 282NC0060X

Clinical Medical Laboratory

Code: 291U00000X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Rehabilitation Unit

Code: 273Y00000X

Alzheimer Center (Dementia Center)

Code: 311500000X

Home Health

Code: 251E00000X

Psychiatric Unit

Code: 273R00000X

Medicare Defined Swing Bed Unit

Code: 275N00000X

Assisted Living Facility

Code: 310400000X

Clinic/Center

Code: 261Q00000X

Rehabilitation, Substance Use Disorder Unit

Code: 276400000X

Hospice Care, Community Based

Code: 251G00000X

Clinic/Center — Ambulatory Surgical

Code: 261QA1903X

General Acute Care Hospital

Code: 282N00000X